Comparison of attention-deficit/hyperactivity disorder and socioeconomic status among school-going children

Vollständiger Abstract

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Background: Attention-deficit/hyperactivity disorder (ADHD) was a common neurodevelopmental disorder among school-going children, with Indian prevalence estimates ranging widely (5–25%) depending on setting and screening tools. Socioeconomic status (SES) had been proposed as a key determinant of ADHD risk, acting through chronic stress, reduced healthcare access and inconsistent parenting. To determine the prevalence of ADHD among school-going children aged 7–12 years and to examine its association with socioeconomic status. Methods: A cross-sectional study was conducted from April 2024 to October 2025 among 400 children aged 7–12 years, recruited from Government/Government-aided schools around Chidambaram (community-based) and a tertiary hospital paediatric OPD (hospital-based confirmation) using multistage cluster sampling. ADHD was screened using the Vanderbilt Assessment Scale (teacher-completed), with positive screens confirmed via CBCL evaluation and psychiatric assessment. SES was classified using a standard composite scale. Associations were assessed using chi-square testing and multivariate logistic regression (p